Name
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First Name
Last Name
Email
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Phone Number
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Are you a US Citizen?
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Are you licensed? If so, what states are you licensed in and what type of license do you currently hold?
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As you seek a new work home, what are you yearning for and what do you need in the workplace to be happy? What gives you a sense of meaning and fulfillment?
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What is it about Hope+Wellness that draws your interest?
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Please tell us about your specialty. List any certifications, previous experience, or any other information that informs us about your ability to work with that population(s).
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Please select therapy approaches you use in your practice
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Please select the 5 statements that best reflect your ideal work life at your dream job and/or your ideal relationship with a job.
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Describe your therapeutic approach and relationship with clients in the therapy room. What mechanisms/factors are required for change to occur within therapy?
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Are you available to work nights and/or mornings? Due to our clientele and population, therapists are expected to be able to work a few nights or mornings per week. Please discuss your ideal schedule.
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Are you available to work (seeing clients) at least 26 hours per week?
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Hybrid Telehealth and In Person positions are available. Are you potentially interested in a full time hybrid position?
Our clinicians are able to work independently and follow directions easily. Do you feel comfortable working independently and being able to follow through on scheduling your existing clients, taking copays or payment, keeping notes accurate and timely, responding to emails in a timely fashion, and staying organized?
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What are your long term goals (1-3 years out)? Personally and/or professionally.
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What can you bring to Hope+Wellness that sets you apart from other candidates?
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Tell us about your personality. How would colleagues describe you? How would you describe your strengths? What is your Myers Briggs personality type (e.g., INTJ) (if you know it)?
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What is your salary history and expectation?
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Please list the names, contact information, and titles of at least three clinical supervisor references.
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